The most important element of a successful hair transplant is creating a natural hairline. It is practically not possible to give natural looking hair transplant results if the doctor lacks a sense of artistry.

It is also important to understand the theoretical view of hairline design. Creative and artistic-minded doctors change the pattern of design depending upon several factors. The factors which play a significant role in the planning of hairline design for a particular person are age, gender, race, size and shape of the face, work profile, type of hair loss and degree of hair loss.

1. Hairline Design– Hairline design must be related to the age and facial features of the patient. Drawing low or high hairlines, disproportionate to the face will give an unnatural result. There is always a fixed territory point on the head, beyond which a hairline should not be extended. This is the point where the horizontal and vertical directions of the forehead meet.
2. Frontal Hairline– Grafts holding single follicular strands are transplanted in the front. The first line is never straight, it moves quite parallel to the movements of the eyebrows and above all wrinkles of the forehead. The first line is followed with the double follicular grafts then triple and four stranded follicular grafts are placed to form a steady incremental hair density of a natural hairline.
3. Hair density– For revealing the best appearance after the complete growth of hair transplant, the hairline should have dense hair coverage without any visibility of spaces between the transplanted hairs. This may give a free hand to the individual to style the hair in any manner. The distribution of the grafts is very important to create an aesthetically transformed look.
4. Crown hair density– For aesthetic transformation, emphasis should be given to the front hairline as compared to the crown. Most of the grafts with single strands should be placed on the hairline itself and subsequently, density with multiple strand grafts can be given in the frontal area, rather than focusing on the crown.

Crown, being on the top of the head is not responsible for changing the look of a person. The looks do certainly matter with the temporal and frontal hair growth.

5. Wavy and irregular hairline – A natural hairline or natural hairline design is not straight or neatly curved. In fact, it is always irregular, with tiny waves, moving in and out depending on the patient’s facial features. Naturally, a few hairs fall out of the hairline boundary. This gives a very natural look.
6. Every person has a unique hairline – No mathematical or scientific formula applies to draw a hairline. It is an art. There is no one perfect or prototype hairline template that suits all patients.

Whatever works for one head will not work for another head. It is, therefore, the job of an experienced hair transplant surgeon, who will design unique solutions for every patient.

7. Angle and direction of graft placement – The angle and direction of placement of grafts should follow the natural direction of the patient’s own hair. While making the incision sites, the doctor should carefully match the angle of the hair that exists in that area and accordingly, the angle and direction are given to every individual graft.